Cardiac Rhabdomyomatous Dysplasia in a Heifer

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Summary
This report is about an incidental finding during slaughter inspection of the heart in a heifer from a feedlot. The lesion, studied by histopathology and immunohistochemistry, resulted composed by several types of heart tissues, all of them immature, disordered and, out of proportion. The most conspicuous was a disperse population of large, vacuolated and PAS positive cells, forming islands, enmeshed in excessive fibrous connective tissue. These cells were identified as abnormal Purkinje fiber-like cells, known as spider cells which resulted markedly positive to desmin, and negative for vimentin, smooth muscle α-actin and myogenin factor 4. Based on characteristic changes and immunoreactivity, the lesion was originally classified as a cardiac rhabdomyoma. The equivalence of this lesion with cardiac hamartoma is inherent, because cardiac rhabdomyomas are considered not a neoplasia but congenital hamartomas. However, contrary to cardiac hamartomas in animals, whose principal component is an abnormal vascular pattern, which was not a main aspect in this lesion, hamartoma was not part of the description. The neovascularization and hypertrophy of tunica media in arteries, recognized in this case was probably a compensatory adaptation of myocardium but appear largely different from reported cases of hamartomas, either in animals and human beings. Other abnormal tisular component was an extensive replacement of myocardium by mature fibrous and adipose tissues. This was interpreted as a clear evidence of dysplasia. Additionally, abnormal cardiomyoblasts organized in tortuous bundles was the latter tisular component. Nonetheless, these cells showed distinctive striations and even intercalated discs. Some of this abnormal myoblasts...

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